Active NPI
James J Nakashima, MD
- Rheumatology Physician
- Longview, WA
National Provider Identifier
1083607253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- MD00036730
- Practice address
- 1615 Delaware St
Longview, WA 98632-2367 - Phone
- (360) 414-2700
- Fax
- (360) 414-2714
- NPI assigned
- Aug 23, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00036730 | WA | |
| Rheumatology Physician | 207RR0500X | MD23744 | ME | |
| Rheumatology Physician | 207RR0500X | MD00036730 | WA | Primary |
Addresses
Primary practice location
1615 Delaware St
Longview, WA 98632-2367
Mailing address
5 Gibbs LN
Longview, WA 98632-6226
Phone (360) 430-8401
Other practice location 1
5 Gibbs Ln
Longview, WA 98632-6226
Phone (360) 430-8401
Other practice location 2
900 Broadway
Bangor, ME 04401-1900
Phone (207) 907-3370
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110194827 | Other | RR MEDICARE | |
| 151283 | Medicaid | OR | |
| 8922563 | Other | WA | CRIME VICTIMS |
| 8232464 | Medicaid | WA | |
| 124241 | Other | WA | LABOR & IND. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1083607253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 GIBBS LN",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986326226",
"telephone_number": "360-430-8401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1615 DELAWARE ST",
"city": "LONGVIEW",
"state": "WA",
"postal_code": "986322367",
"telephone_number": "360-414-2700",
"fax_number": "360-414-2714"
}
],
"practiceLocations": [
{
"address_1": "5 Gibbs Ln",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986326226",
"country_code": "US",
"telephone_number": "360-430-8401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "900 Broadway",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044011900",
"country_code": "US",
"telephone_number": "207-907-3370",
"fax_number": "207-907-1189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAKASHIMA",
"first_name": "JAMES",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-23",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00036730",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "ME",
"license": "MD23744",
"primary": false
},
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "WA",
"license": "MD00036730",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "110194827",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151283",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRIME VICTIMS",
"identifier": "8922563",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8232464",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & IND.",
"identifier": "124241",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Longview, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.